Specialty Pharmacy Representative II

Job Details

Job Description

Essential Functions
* Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
* Acts as a liaison between Specialty Pharmacy Representative I and Administrative Supervisor,Pharmacy Manager, and Director to ensure all processes and business functions are optimized tosupport JSP's growth and strategy.
* Receives inbound and outbound calls to patients or physician offices regarding orders orprescription refill information for high dollar/specialty medications (e.g. Oncology, Hepatitis) (underappropriate supervision of a pharmacist), pharmacy services, and all other inquiries.
* Conducts/leads projects to support both the day-to-day functions and growth of the JSP
* Expected to perform SPR I duties as needed to meet the business needs of JSP.
* Explain insurance coverage to patients as it relates to their co-payment responsibility and financialresources available to them.
* Participates in the training of employees, oversees mentorship activities, including development oftraining materials for JSP
* Oversees key Specialty Pharmacy Representative I functions such as Prior Authorization, FinancialAssistance, Inventory, Delivery Management, etc.
* Contributes to departmental Quality Assurance/Quality Improvement activities. Expectedparticipation no less than 2% of the time
* Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

Competencies (Knowledge, Skills, and Abilities Required):
Participates in business growth and efficiency initiatives.
Documents all communications, interactions and other information in the patient's medical record toensure that all care team members are kept current; flags open issues
OUR MISSION: We improve lives.
OUR VISION: Reimagining health, education & discovery to create unparalleled value.
OUR VALUES: Put People First, Be Bold & Think Differently, Do the Right Thing.

Responsible for monthly follow-up calls to patients to discuss medication on hand, identify any barriersto patient adherence, and facilitate discussions with the clinical staff to help the patient overcomebarriers.
Responsible for coordinating delivery/pick-up of medications with dispatch.
Act as a liaison between the patient and their insurance company, foundations, and manufacturers.
Enroll and coordinate patient financial assistance and support services, copay cards, funding assistance, and manufacturer support programs.
Other responsibilities as assigned

Minimum Education and Experience Requirements:
Education:
High School Diploma or GED equivalent
AND
Experience:
3+ years experience in a customer service role.
3+ years experience in a specialty pharmacy, hospital, health insurance company, benefits department, or other related healthcare environment.
Customer-facing experience a plus

Minimum Certifications, Registration or License Requirements:
AS/BS degree preferred; Certified Pharmacy Technician (CPhT) preferred

Additional Information
* Knowledge of clinical software systems, Specialty Medications, and Medicare billing is highly
preferred.
* Ability to communicate professionally and effectively in both written and verbal format with
patients, physicians, payors, and clinical staff in-person and on the phone.
* Flexibility to adapt to departmental changes including: mentoring and assisting other team
members, adjusting assignments, etc.
* Detailed-oriented with excellent organization skills, ability to learn quickly, solve problems, and make
informed educated decisions.
* Willingness and ability to assume roles assuming key aspects of the business
* Strong business and service acumen

Work Shift

Worker Sub Type

Primary Location Address

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

At Jefferson, we offer a comprehensive total rewards package designed to support the health and well-being of our colleagues and their families. It includes a wide range of benefits including competitive pay, health and retirement benefits, life and disability insurance, paid time off, educational benefits, financial and mental health resources and much more. Our diverse benefits offerings ensure you have the coverage and access to services you need to thrive both personally and professionally.